MEDICARE: 1VIDA TELECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1063301687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1VIDA TELECARE

Provider Business Mailing Address
First Line	:	PO BOX 441834
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77244-1834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2384 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5739
Country	:	US
Telephone Number	:	832-243-6104
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCINE NOSWORTHY
Credential	:	FNP
Telephone Number	:	832-243-6104

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/30/2025

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Directions to “1VIDA TELECARE ” Practice Location

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